Business ProfileforPrism Health Care Services, Inc.

A representative of Prism Health Care Services, *** telephoned me on 01/25/24 and attempted to pressure and manipulate me into ordering supplies I may not have needed. They wanted me to give them authorization to bill my insurance without properly explaining what supplies they wanted to order on my behalf and why I would need such supplies and whether or not my provider had ordered a resupply and even if allowed by my insurance, whether such supplies were needed given my health circumstances. The representative who did not claim to be medically trained, told me I would get infections. I asked for an estimate of what my insurance coinsurance would be but was refused. Prism's representative said they would determine the amount of my coinsurance responsibility and contact me before filling the supply order. I did not receive a phone call providing me with an estimate nor did authorize purchase of medical supplies. Prism sent me an email on 01/29/24 falsely claiming that I approved the resupply on 01/25/24 and that the order #******* was being shipped. When I called the number provided, a representative named ******* or *************** or similar yelled and blamed a third party they had contracted with. She refused to let me speak to a supervisor and refused to look up my name or account and refused to notate my account then hung up. When I called back, I had to wait on hold for an unreasonable amount of time. When I called back a third time, I reached ******* who said she was in contact with her supervisor **** but refused to let me speak to her supervisor or to any supervisor to resolve this issue. Prism Health Services deliberately frustrates the customer service process so that a customer has no venue to complain or to reach a supervisor. In addition, they are potentially committing insurance fraud by pressuring customers to order unnecessary or unneeded supplies and then processing the order with authorization causing a bill to the insurance company..